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General NPI Number Information
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NPI Number | 1407990823
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Entity Type | Individual
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Provider Name | MICHAEL A. GRASSO MD, PHD
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Gender | Male
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Dates
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Enumeration Date | 02/18/2007
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Last Update Date | 09/10/2020
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Provider Practice Location Address
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Address Line | 22 S GREENE ST MEDICINE, N3E09
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City | BALTIMORE
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State | MD
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Zip | 21201-1544
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Country | US
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Telephone | 410-328-6110
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Fax |
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Provider Business Mailing Address
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Address Line | 110 S PACA ST, 6TH FLOOR, SUITE 200 DEPARTMENT OF EMERGENCY MEDICINE
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City | BALTIMORE
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State | MD
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Zip | 21201
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Country | US
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Telephone | 410-328-8025
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | D0067245
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2083C0008X
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Taxonomy Name | Clinical Informatics Physician
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License Number | D0067245
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D0067245
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License Number State | MD
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